Study suggests scleral buckle to treat phakic patients with uncomplicated retinal detachment
TORONTO — In cases of uncomplicated retinal detachment, scleral buckle may be a good treatment option for phakic eyes, while the surgeon must balance the benefits of vitrectomy and scleral buckle for pseudophakic eyes, according to a study presented here.
“There is no consensus about the best treatment option,” Ron Adelman, MD, MPH, told colleagues at the American Society of Retina Specialists meeting.
However, the European Vitreo-Retinal Society (EVRS) Retinal Detachment Study is the largest published study that sets out to answer that question, he said. Of 7,678 cases of retinal detachment included in the EVRS study, 4,179 cases were uncomplicated. Primary procedures were performed by 176 surgeons from 48 countries.
When scleral buckle was compared with vitrectomy in uncomplicated phakic retinal detachments, overall, scleral buckle had a lower final failure rate, Adelman, primary study author, said.
“When vitrectomy was performed, adding scleral buckle did not improve the outcome,” he said.
However, patients with scleral buckle underwent more surgeries.
The study also showed that in pseudophakic eyes with uncomplicated retinal detachment, there was no significant difference in final failure rate in the group that had vitrectomy compared with the group that had scleral buckle.
“Single surgery success was higher in the vitrectomy group, which gives an edge to vitrectomy in pseudophakic eyes,” Adelman said.
Disclosure: Adelman has no relevant financial disclosures.